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Pak J Med Sci. 2017 Mar-Apr;33(2):276-279. doi: 10.12669/pjms.332.10022.

Single-incision Laparoscopic Appendectomy for acute Appendicitis using a 10-mm Laparoscope and the Glove Port Technique.

Pakistan journal of medical sciences

Takaaki Tsushimi, Hirohito Mori, Manabu Sudo, Yoshihide Minami, Koichi Ueki, Makoto Tamai

Affiliations

  1. Dr. Takaaki Tsushimi, Ehime Rosai Hospital, Department of Surgery, Japan. Minamikomatsubara-cho 13-27, Niihama, Ehime, Japan, Saiseikai Shimonoseki General Hospital, Department of Surgery. Shimonoseki, Yamaguchi, Japan.
  2. Dr. Hirohito Mori, Ehime Rosai Hospital, Department of Surgery, Japan. Minamikomatsubara-cho 13-27, Niihama, Ehime, Japan.
  3. Dr. Manabu Sudo, Saiseikai Shimonoseki General Hospital, Department of Surgery. Shimonoseki, Yamaguchi, Japan.
  4. Dr. Yoshihide Minami, Saiseikai Shimonoseki General Hospital, Department of Surgery. Shimonoseki, Yamaguchi, Japan.
  5. Dr. Koichi Ueki, Saiseikai Shimonoseki General Hospital, Department of Surgery. Shimonoseki, Yamaguchi, Japan.
  6. Dr. Makoto Tamai, Saiseikai Shimonoseki General Hospital, Department of Surgery. Shimonoseki, Yamaguchi, Japan.

PMID: 28523021 PMCID: PMC5432688 DOI: 10.12669/pjms.332.10022

Abstract

OBJECTIVE: To evaluate the single incision laparoscopic appendectomy (SILA) using existing instruments, the 10-mm laparoscope, and glove port technique.

METHODS: SILA was performed on 16 patients (8 male cases, 8 female cases) between June 2012 and September 2015. A 20-mm incision was made in the umbilicus and a wound retractor was placed. A 10-mm trocar for the laparoscope and two 5-mm trocars were fixed to the three fingers of the latex gloves and it was attached to the wound retractor. Another thin forceps were inserted from right low abdomen.

RESULTS: Average age of patients was 32.6 ± 17.7 years. Preoperative average white blood cell was 13,325 ± 4,584 /mm

CONCLUSION: SILA using the 10-mm laparoscope and glove port technique may be a safe and feasible operation for mild to moderate appendicitis.

Keywords: 10-mm laparoscope; Appendectomy; Glove port technique; SILA (Single Incision Laparoscopic Appendectomy); SILS (Single Incision Laparoscopic Surgery)

Conflict of interest statement

Declaration of interest: The authors declare that they have no competing interests.

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